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1629611488
SHANE M HAFER
PHILADELPHIA, PA
NPI
1629611488
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: PA SP020954)
Enumeration Date
2019-10-24
Last Update Date
2019-10-24
Business Address
SHANE M HAFER CRNP
3600 CIVIC CENTER BLVD FL 3
PHILADELPHIA, PA 19104-4310
Phone number: 215-662-6187
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Mailing Address
SHANE M HAFER CRNP
1017 BEECH ST
READING, PA 19605-1405
Phone number: 484-529-7443
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